Individual
MRS. SHELLEY HILL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1600 PEMBROKE OAK GROVE RD, PEMBROKE, KY 42266-9760
(270) 887-7290
(270) 475-9897
Mailing address
1600 PEMBROKE OAK GROVE RD, PEMBROKE, KY 42266-9760
(270) 887-7290
(270) 475-9897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GN174
—
KY
Enumeration date
04/14/2008
Last updated
04/14/2008
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